International Journal of Sports Physical Therapy最新文献

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Rehabilitation Following ACL Repair with Internal Brace Ligament Augmentation in Female Gymnast: A Resident's Case Report. 女体操运动员前交叉韧带修复术后的康复与内支架韧带增强术:一名住院医师的病例报告。
IF 1.7
International Journal of Sports Physical Therapy Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI: 10.26603/001c.117773
Colten Haack, Giorgio Zeppieri, Micheal W Moser
{"title":"Rehabilitation Following ACL Repair with Internal Brace Ligament Augmentation in Female Gymnast: A Resident's Case Report.","authors":"Colten Haack, Giorgio Zeppieri, Micheal W Moser","doi":"10.26603/001c.117773","DOIUrl":"10.26603/001c.117773","url":null,"abstract":"<p><strong>Introduction: </strong>Anterior Cruciate Ligament (ACL) injuries continue to be a major source of morbidity in gymnastics. The gold standard is to perform an ACL Reconstruction (ACLR). However, injuries to the proximal femoral attachment of the ACL have demonstrated an ability to regenerate. An alternative surgical intervention to the ACLR in this ACL tear subgroup is an ACL repair. The purpose of this case report is to provide a rehabilitation progression for a female gymnast after an ACL repair with Internal Brace Ligament Augmentation (IBLA).</p><p><strong>Case description: </strong>The subject was a 16-year-old female who presented with a Sherman Type 1 proximal avulsion of her ACL. She underwent an ACL repair with IBLA. Physical therapy interventions followed a sequential and multi-phased approach based on time for tissue physiologic healing and individual progression. Patient reported outcomes including the International Knee Documentation Committee (IKDC), the Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) and the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) were assessed in conjunction with isokinetic strength and hop performance testing to determine return to sport readiness.</p><p><strong>Outcomes: </strong>The subject completed 42 sessions over the course of 26 weeks in addition to a home exercise program. At return to sport, clinically meaningful improvement was observed in patient reported outcomes including the IKDC, ACL-RSI, and OSPRO-YF. Additionally, strength and hop performance surpassed established thresholds of clinical significance. The subject returned to sport at six months post-operatively.</p><p><strong>Conclusion: </strong>The subject in this case report returned to full participation in gymnastics six months after an ACL repair with internal bracing following a sequential and multi-phased rehabilitation. The primary ACL repair with IBLA appeared beneficial to this patient and could benefit from additional study in other athletes and athletic populations.</p><p><strong>Level of evidence: </strong>Level 5.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11144659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141246704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postural Control During Single-Leg Landing in Female Athletes After Anterior Cruciate Ligament Reconstruction. 前十字韧带重建后女运动员单腿着地时的姿势控制。
IF 1.6
International Journal of Sports Physical Therapy Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI: 10.26603/001c.117400
Ayane Ogura, Terumitsu Miyazaki, Hirofumi Ida, Satoshi Shibata, Masahiro Takemura
{"title":"Postural Control During Single-Leg Landing in Female Athletes After Anterior Cruciate Ligament Reconstruction.","authors":"Ayane Ogura, Terumitsu Miyazaki, Hirofumi Ida, Satoshi Shibata, Masahiro Takemura","doi":"10.26603/001c.117400","DOIUrl":"10.26603/001c.117400","url":null,"abstract":"<p><strong>Background: </strong>Secondary anterior cruciate ligament (ACL) injury is a complication of ACL reconstruction (ACLR), which may result from altered neuromuscular control affecting anticipatory postural adjustments (APAs) and compensatory postural adjustments (CPAs) required for maintaining balance during movement. However, it remains unclear how APAs and CPAs differ in single-leg landings post-ACLR compared to healthy subjects.</p><p><strong>Purpose: </strong>The purpose of this study was to clarify the differences in muscle activities of APAs and CPAs, lower limb kinematics, and kinetics between athletes with a history of ACLR and healthy athletes during single-leg landing.</p><p><strong>Study design: </strong>Cross-sectional study.</p><p><strong>Methods: </strong>Eighteen female athletes were recruited and divided into ACLR (n = 9) and control groups (n = 9). The experimental task involved a single-leg landing from a 30 cm box. Joint angles and moments were determined using a 3-dimensional motion analysis system, while muscle activity was assessed using surface electromyography. Analysis intervals were divided into two phases: the APA phase (-150 ms to 50 ms) and the CPA phase (50 ms to 250 ms), with initial contact (0 ms) as the reference point. Muscle activity onset time was defined as the time when the baseline exceeded by the sum of mean values and 2 standard deviations.</p><p><strong>Results: </strong>No significant differences were observed in muscle activity or onset time between the ACLR and control groups. However, an increased hip external rotation moment was observed during the CPA phase in the ACLR group.</p><p><strong>Conclusion: </strong>These findings suggest that APAs and CPAs of athletes who returned to sports more than 1 year post-ACLR may be similar. The increased hip external rotation moment in the ACLR group during the CPA phase could represent a specific compensatory strategy to decrease the hip internal rotation angle post-ACLR.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11144668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Periscapular Strength Profile Changes in Collegiate Baseball Pitchers Over the Course of a Season. 大学棒球投手在一个赛季中的肩胛骨力量曲线变化。
IF 1.7
International Journal of Sports Physical Therapy Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI: 10.26603/001c.117398
Patrick S Pabian, Victoria Roach, Roselin Howard, Lauren Johnston, Ryan McGuire
{"title":"Periscapular Strength Profile Changes in Collegiate Baseball Pitchers Over the Course of a Season.","authors":"Patrick S Pabian, Victoria Roach, Roselin Howard, Lauren Johnston, Ryan McGuire","doi":"10.26603/001c.117398","DOIUrl":"10.26603/001c.117398","url":null,"abstract":"<p><strong>Background: </strong>Repetitive application of high forces to the shoulder and scapular musculature during the pitching motion over the course of a collegiate baseball season may lead to changes in strength and increased fatigue, potentially predisposing pitching athletes to injury. The purpose of this study was to investigate periscapular strength profiles of Division I collegiate baseball players over the course of a season.</p><p><strong>Methods: </strong>This study was a retrospective data analysis of 18 Division I baseball pitchers. Isometric scapular plane abduction (scaption), external rotator, internal rotator, middle trapezius, and lower trapezius isometric strength was measured on throwing arm of each subject using a MicroFET 2 handheld dynamometer. Data were collected in a single session at the preseason, midseason, and postseason of the college baseball season, which spanned a five-month period. A repeated measures ANOVA was utilized to determine if there was a significant change in periscapular strength across the baseball season.</p><p><strong>Results: </strong>Over the three time-points, all strength values decreased for each muscle group, with decreases ranging from 3-14%. Changes in scaption strength values were statistically significant (p=0.018, partial eta squared =0.284) with an 8% reduction over the entire season, specifically with a 5% decline from mid-season to post-season. While external rotator, internal rotator, middle trapezius, and lower trapezius strength values all decreased over the course of the season (range 0.02kg to 1.8kg), these differences were not statistically significant. However, the middle trapezius strength value change (1.3kg loss) exceeded the minimal detectible change.</p><p><strong>Conclusion: </strong>Periscapular muscles in baseball pitchers diminish in strength over the course of a collegiate baseball season. Understanding strength changes over the course of a season may influence training and therapeutic interventions.</p><p><strong>Level of evidence: </strong>3b.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11144669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141249036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Low-Load Blood Flow Restriction Training on Rotator Cuff Strength and Hypertrophy: Case Series. 低负荷血流限制训练对肩袖力量和肥厚的影响:病例系列。
IF 1.6
International Journal of Sports Physical Therapy Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI: 10.26603/001c.118143
Daniel W Safford, Kshamata M Shah, Frederic Breidenbach, Philip W McClure
{"title":"Effects of Low-Load Blood Flow Restriction Training on Rotator Cuff Strength and Hypertrophy: Case Series.","authors":"Daniel W Safford, Kshamata M Shah, Frederic Breidenbach, Philip W McClure","doi":"10.26603/001c.118143","DOIUrl":"10.26603/001c.118143","url":null,"abstract":"<p><strong>Background: </strong>The rotator cuff (RC) plays a pivotal role in the performance and health of the shoulder and upper extremity. Blood flow restriction training (BFRT) is a modality to improve strength and muscle hypertrophy with even low-load training in healthy and injured individuals. There is minimal evidence examining its effect proximal to the occluded area, and particularly on the RC.</p><p><strong>Hypothesis & purpose: </strong>The purpose of this case series is to explore the effects of low-load BFRT on RC strength, hypertrophy, and tendon thickness in asymptomatic individuals.</p><p><strong>Study design: </strong>Case series.</p><p><strong>Methods: </strong>Fourteen participants with asymptomatic, untrained shoulders were recruited to participate. They performed an eight-week low-load shoulder exercise regimen where BFR was applied to the dominant arm only during exercise. The dependent variables were maximal isometric strength of the shoulder external rotators(ER) and elevators (in the scapular plane in full can position) (FC) measured via handheld dynamometry, cross sectional area (CSA) of the supraspinatus and infraspinatus muscles, and supraspinatus tendon thickness measured via ultrasound imaging (US). Mean changes within and between arms were compared after training using paired t-tests. Cohen's d was used to determine effect sizes.</p><p><strong>Results: </strong>All participants were able to complete the BFRT regimen without adverse effects. Mean strength and CSA increased for all variables in both arms, however this increase was only significant (p<0.01) for FC strength bilaterally and CSA for the supraspinatus and infraspinatus on the BFRT side. The effect sizes for increased supraspinatus and infraspinatus CSA on the BFRT side were 0.40 (9.8% increase) and 0.46 (11.7% increase) respectively. There were no significant differences when comparing the mean changes of the BFRT side to the non-BFRT side for strength or muscle CSA. There were no significant changes to supraspinatus tendon thickness.</p><p><strong>Conclusion: </strong>These results suggest variability in response of the RC musculature to low-load BFRT in asymptomatic individuals. The potential for a confounding systemic response in the study design makes determining whether low-load BFRT is more beneficial than low-load non-BFRT difficult. The hypertrophy seen on the BFRT side warrants further study.</p><p><strong>Level of evidence: </strong>4.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11144660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reliability of Spatiotemporal Characteristics During Single-Legged Hop and Bilateral Drop Jump Tasks Using an Instrumented Pressure Walkway. 使用仪器压力步行道进行单脚跳和双侧落跳任务时的时空特征的可靠性。
IF 1.6
International Journal of Sports Physical Therapy Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI: 10.26603/001c.117401
Matthew McManigal, Austin Post, Michael Allen, Alyx Jorgensen, MIke Rosenthal, Michael Wellsandt, Matthew Tao, Elizabeth Wellsandt
{"title":"Reliability of Spatiotemporal Characteristics During Single-Legged Hop and Bilateral Drop Jump Tasks Using an Instrumented Pressure Walkway.","authors":"Matthew McManigal, Austin Post, Michael Allen, Alyx Jorgensen, MIke Rosenthal, Michael Wellsandt, Matthew Tao, Elizabeth Wellsandt","doi":"10.26603/001c.117401","DOIUrl":"10.26603/001c.117401","url":null,"abstract":"<p><strong>Background: </strong>Single-legged hop tests have been widely used to assess performance-based outcomes after anterior cruciate ligament (ACL) reconstruction. Traditional single, triple, or 6-meter (6m) timed hop tests only measure distance or time as the principal variables, neglecting other variables, such as individual hop distances within a series of hops, flight time, and stance time. The development of portable instrumented pressure walkways has made it possible to collect parameters such as hop velocity, flight time, stance time, distance, and pressure outside of a laboratory setting. However, the reliability of instrumented pressure walkways in measuring spatial and temporal variables during single-legged hop tests is unknown. This study aimed to determine if the Zeno walkway can reliably measure spatiotemporal (ST) characteristics of hop tests.</p><p><strong>Study design: </strong>Cross-Sectional Study.</p><p><strong>Methods: </strong>Individuals (n=38) in this cross-sectional study performed single, triple, and 6m hop tests on a pressure-sensitive Zeno walkway. Twenty-one participants completed follow-up testing between one and 14 days later. Intraclass correlation coefficients (ICC(3,k)) were used to assess test-retest reliability of ST variables. The accuracy of vertical jump height and 6m hop timing were also measured.</p><p><strong>Results: </strong>All ST variables demonstrated excellent test-retest reliability (ICC > 0.86) with small minimal detectable change (MDC) values during single-legged hop tests. Six-meter hop time and jump height during a bilateral drop jump were also accurately measured by the walkway.</p><p><strong>Conclusion: </strong>An instrumented pressure walkway is a novel tool to reliably assess non-traditional parameters of clinically relevant hop and jump tests such as flight time, stance time, and jump height after lower extremity injury, surgery, and rehabilitation.</p><p><strong>Level of evidence: </strong>3b.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11144667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141247010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strength of the Uninvolved Limb Following Return to Activity After ACL Injury: Implications for Symmetry as a Marker of Sufficient Strength. 前交叉韧带损伤后恢复活动时未受累肢体的力量:对称性作为足够力量标志的意义。
IF 1.6
International Journal of Sports Physical Therapy Pub Date : 2024-06-01 eCollection Date: 2024-01-01 DOI: 10.26603/001c.117547
Matthew T Hartshorne, Jeffrey A Turner, Kenneth L Cameron, Darin A Padua
{"title":"Strength of the Uninvolved Limb Following Return to Activity After ACL Injury: Implications for Symmetry as a Marker of Sufficient Strength.","authors":"Matthew T Hartshorne, Jeffrey A Turner, Kenneth L Cameron, Darin A Padua","doi":"10.26603/001c.117547","DOIUrl":"10.26603/001c.117547","url":null,"abstract":"<p><strong>Background: </strong>Muscular strength deficits are common after ACL injury. While the Limb Symmetry Index (LSI), using the uninvolved limb as a reference, is widely used, negative strength adaptations may affect both limbs post-injury. It is uncertain how the strength of the uninvolved limb in those with an ACL injury compares to uninjured individuals, making it unclear whether it is appropriate as a benchmark for determining sufficient strength.</p><p><strong>Purpose: </strong>To compare the strength of key lower extremity muscles of the uninvolved limb in those with history of ACL injury (ACL-I) to the dominant limb in individuals with no history of ACL injury (control).</p><p><strong>Study design: </strong>Cross-sectional study. Methods: A total of 5,727 military cadets were examined, with 82 females and 126 males in the ACL-I group and 2,146 females and 3,373 males in the control group. Maximum isometric strength was assessed for six muscle groups measured with a hand-held dynamometer. Separate two-way ANOVAs with limb and sex were performed for each muscle group.</p><p><strong>Results: </strong>Significant main effects for limb were observed with the uninvolved limb in the ACL-I group displaying greater strength compared to the dominant limb in the control group for the quadriceps, hamstrings, and gluteus medius, but effect sizes were small (Cohen's d <0.25). Significant main effects for sex were observed with greater male muscular strength in all six muscle groups with small to large effect sizes (Cohen's d 0.49-1.46). No limb-by-sex interactions were observed.</p><p><strong>Conclusions: </strong>There was no evidence of reduced strength in the uninvolved limb in those with a history of ACL injury compared to the dominant limb in those with no prior ACL injury. This finding suggests that, after clearance to return to activities, the uninvolved limb can be used as a standard for comparison of sufficient strength, including when using the LSI. Level of Evidence: Level 3.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11144673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141247546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Author Response - Letter to the Editor Concerning: "An Interval Throwing Program for Baseball Pitchers Based upon Workload Data". 作者回复--致编辑的信,内容涉及:"基于工作量数据的棒球投手间歇投掷计划":"基于工作量数据的棒球投手间歇投掷计划"。
IF 1.6
International Journal of Sports Physical Therapy Pub Date : 2024-05-02 eCollection Date: 2024-01-01 DOI: 10.26603/001c.116858
Michael M Reinold, Brittany Dowling, Glenn S Fleisig, Leonard C Macrina, Kevin E Wilk, John T Streepy, James R Andrews
{"title":"Author Response - Letter to the Editor Concerning: \"An Interval Throwing Program for Baseball Pitchers Based upon Workload Data\".","authors":"Michael M Reinold, Brittany Dowling, Glenn S Fleisig, Leonard C Macrina, Kevin E Wilk, John T Streepy, James R Andrews","doi":"10.26603/001c.116858","DOIUrl":"10.26603/001c.116858","url":null,"abstract":"","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11065784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The SportsComp Erasmus+ project. An initial WP2 Protocol Overview: The International and Multidisciplinary Delphi and Qualitative Study. SportsComp Erasmus+ 项目。WP2 初步协议概述:国际多学科德尔菲和定性研究。
IF 1.7
International Journal of Sports Physical Therapy Pub Date : 2024-05-02 eCollection Date: 2024-01-01 DOI: 10.26603/001c.116582
Bruno Tassignon, Carlo Ramponi, Armi Hirvonen, Mati Arend, Eleni Kapreli, Jo Verschueren
{"title":"The SportsComp Erasmus+ project. An initial WP2 Protocol Overview: The International and Multidisciplinary Delphi and Qualitative Study.","authors":"Bruno Tassignon, Carlo Ramponi, Armi Hirvonen, Mati Arend, Eleni Kapreli, Jo Verschueren","doi":"10.26603/001c.116582","DOIUrl":"https://doi.org/10.26603/001c.116582","url":null,"abstract":"","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11065786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140858754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Progression and Load Management For Proximal Hamstring Tendinopathy In A Long-Distance Runner: A Case Report. 一名长跑运动员腘绳肌腱近端病变的临床进展和负荷管理:病例报告。
IF 1.6
International Journal of Sports Physical Therapy Pub Date : 2024-05-02 eCollection Date: 2024-01-01 DOI: 10.26603/001c.116578
Cristina Campos-Villegas, Lucía Ortega-Pérez de Villar, Javier Gámez-Payá, Jorge Alarcón-Jiménez, Nieves de Bernardo
{"title":"Clinical Progression and Load Management For Proximal Hamstring Tendinopathy In A Long-Distance Runner: A Case Report.","authors":"Cristina Campos-Villegas, Lucía Ortega-Pérez de Villar, Javier Gámez-Payá, Jorge Alarcón-Jiménez, Nieves de Bernardo","doi":"10.26603/001c.116578","DOIUrl":"10.26603/001c.116578","url":null,"abstract":"<p><strong>Background and purpose: </strong>The characteristics of Proximal Hamstring Tendinopathy (PHT) include deep, localized pain in the region of the ischial tuberosity. Chronic lesions are often found in long-distance runners. Compression of the tendon and shear force at its insertion at the ischial tuberosity during hip flexion/adduction is a key etiologic factor. The aim of this case report is to analyze the effectiveness of an exercise protocol with progression of tendon loading in PHT in an amateur runner, by assessing pain and functional capacity.</p><p><strong>Case description: </strong>The subject was a 30-year-old male runner. After participating in a 10km race, he experienced an insidious onset of deep buttock pain in the right ischial tuberosity. His pain was aggravated by running on sloped roads and prolonged sitting on hard surfaces, particularly while driving. The visual analog scale (VAS) for pain, the Puranen-Orave test (PO), the Bent-Knee stretch test (BK stretch), the supine plank test, the Victorian Institute of Sport Assessment-proximal hamstring tendons (VISA-H) questionnaire, and the sciatic nerve mobility (via the Slump test) were assessed. The intervention involved a 12-week progressive loading exercise program divided into four phases.</p><p><strong>Outcomes: </strong>The initial pain was reduced at 6 weeks of intervention and further decreased at 12 weeks (VAS from 7, to 5 and to 1). Function increased at 6 weeks and at 12 weeks (VISA-H from 23, to 53, to 80). Sciatic nerve mobility was normal.</p><p><strong>Conclusion: </strong>The progression of training in a subject with PHT tendon injury based on isometric exercise, concentric/eccentric, energy storage, progressively increasing hip flexion was beneficial, increasing function and decreasing pain. Studies with a larger sample size and a more precise methodological design would be necessary to support this type of intervention in clinical practice.</p><p><strong>Level of evidence: </strong>5.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11065772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of High Ankle Sprains Utilizing the Tightrope Surgical Procedure - A Novel Approach for a Rapid Return to Play. 利用 Tightrope 手术方法治疗高位踝关节扭伤--一种快速恢复比赛能力的新方法。
IF 1.6
International Journal of Sports Physical Therapy Pub Date : 2024-05-02 eCollection Date: 2024-01-01 DOI: 10.26603/001c.116862
Michael L Voight, Connor Norman, Kevin E Wilk, Matthew Lucas, Chris Wolfe
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